HomeMy WebLinkAboutWORK ACCEPTANCE FORM JLM-N-SON'S CONSTRUCTION- 21-00664 - Rexburg Motor Sports - RemodelContractor Work Acceptance Form
Business Name:*
Contact Name:*
Mailing Address
Email:*Phone:*
Mobile:
Discipline:*License #:*Expiration Date:*Value of Work:
Permit Number:*
Project Name:*
Project Address:*
By signing, I acknowle dge that I am the indicate d contractor for the abov e me ntione d Pe rmit/Proje ct.
Signature Date
Contractor/Subcontractor
JLM-n-Son’s Constuction
208-201-0228
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Update new contact information that is not already on file with the City of Rexburg
Street Address
159 South 4000 West
Address Line 2
jmckinlay10@gmail.com 2082010228
Building RCE-41910 8/24/2021 40,000.00$
Permit Information
Please enter in the following format: 00-00000
21-00664 Rexburg Motorsports storage
159 South 4000 West
Acceptance
Sign 8/27/2021